Provider Demographics
NPI:1023896438
Name:BB HOME SUPPORT SERVICES LLC
Entity type:Organization
Organization Name:BB HOME SUPPORT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:N
Authorized Official - Last Name:ESSIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-241-1025
Mailing Address - Street 1:6803 BACKLICK RD STE C
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22150-3075
Mailing Address - Country:US
Mailing Address - Phone:703-596-0016
Mailing Address - Fax:703-752-0540
Practice Address - Street 1:6803 BACKLICK RD STE C
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22150-3075
Practice Address - Country:US
Practice Address - Phone:703-596-0016
Practice Address - Fax:703-752-0540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health